Failure to Maintain and Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to maintain and post daily nurse staffing information as required, with missing records for 134 out of 385 days reviewed. Specifically, there were no available daily posted staffing sheets for the entire months of September through December 2024, and for multiple weekend days in January through April 2025. Record review confirmed these gaps, and staff interviews revealed that the scheduler, who began in January 2025, was unaware that staffing sheets needed to be completed on weekends and retained for 18 months. The scheduler also could not locate any staffing sheets for the months of September through December 2024. Further interviews with the DON and Administrator confirmed that the scheduler was responsible for completing and maintaining the daily posted staffing sheets, but there was no designated staff member to handle this task on weekends. The DON was aware of the requirement to complete and retain the sheets daily, but the process was not consistently followed, particularly on weekends and for several months, resulting in the deficiency.